Any tips on clearing a blockage in the duct? Have been massaging in shower, after feeds and also putting hot facewashers on them during the day.
Get yourelf a nice big cabbage. Stuff a cold cabbage leaf in your bra. It works. Don't use the bit of the leaf down near the core, but the top smoother part. Also don't leave it on indefinately, it can dry the milk up. I used to just stuff the cool leaves in and toss them when they got warm. Yes you will smell divine! I copied this from the net....

Cabbage Leaves
It is not an old wives’ tale. Cabbage leaves really do relieve engorgement, possibly more effectively than icepacks or other treatments. Regular green cabbage such as you’ll find at the grocer contains sinigrin, magnesium, oxylate, mustard oil, rapine and sulphur heterosides. This natural mixture of compounds reduces tissue congestion by dilating the small blood vessels to improve blood flow to the area.

To use, crush the green cabbage leaves with a rolling pin to break the veins and to better accommodate the shape of your breast. You can snip out a hole for your nipple if that is more comfortable for you.

Place the cabbage leaves over your breasts, inside of your bra. Leave it in place until they wilt, usually 2-4 hours. Many mothers report relief about 8 hours after treating with cabbage leaves. You can stop using the cabbage as soon as the engorgement goes down.

IMPORTANT: Cabbage leaves are not recommended if you are allergic to cabbage or sulfa.